Individual
DR. BIENVENIDO BANAL CANLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3905 VALENCIA AVE, SAN BERNARDINO, CA 92404-2456
(909) 963-8721
Mailing address
3905 VALENCIA AVE, SAN BERNARDINO, CA 92404-2456
(909) 963-8721
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
4301094110
MI
Other
Enumeration date
08/07/2009
Last updated
08/07/2009
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